Adult Residential Facility Levels of Care & Rates
The Regional Center vendors with you to provide a specific level of residential care (levels refer to facilities not residents). The higher the level the more care and supervision is required. The staffing level of a level 4i is considerably more than the staffing required for a level 2. Facilities levels 4a and above will require you to hire the services of a behavioral management specialist who creates a behavior plan for each client. The levels of care are as follows:
Level 1
Limited care and supervision for persons with self-care skills and no behavior problems.
Level 2
Care, supervision and incidental training for persons with some self-care skills and no major behavior problems.
Level 3
Care, supervision and ongoing training for persons with significant deficits in self-help skills, and/or some limitations in physical coordination and mobility, and/or disruptive or self-injurious behavior.
Level 4
Care, supervision and professionally supervised training for persons with deficits in self-help skills, and/or severe impairment in physical coordination and mobility, and/or severely disruptive or self-injurious behavior.
Level 4
Level 4 is subdivided into Levels 4A through 4I in which staffing levels are increased to correspond to the escalating severity of disability level.
You can view the complete detail on staffing levels by clicking on Title 17 Residential Service Levels. For a summary see the table below.
Table of Staffing Requirements by Facility Level:

Facility Rates
Regional Centers set the rate of reimbursement for residential services.
Table of Facility Service Monthly Rates by Service Level
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